2026
AI systems now measure living bodies and act on what they find. No standard says when to trust them.
FEAIS is a research foundation. Our subject is a chain that existing safety work tends to split into pieces: a reading taken from air or tissue, a model's interpretation of it, and a physical action that follows. Error compounds along the chain, and the last step is rarely reversible by default.
The central question
What makes a system safe when it measures a body and then acts on it?
Calibration drifts. Histology samples a fraction of a percent of the tissue. Plasma markers stand in for processes nobody can watch directly. None of this is news to the people who run these instruments, and practice has built habits around all of it.
What is new is putting a model in the loop that has access to none of those habits. It sees a number, not the six months of humidity that produced the number. Once its output drives an air handler or a clinical recommendation, the uncertainty dropped at the front end comes back as a physical decision.
Research areas
Three research areas
The numbering follows the direction errors travel. Instrument error propagates into inference, and inference licenses action. Pieces of this are well covered already: metrology at the front end, model auditing in the middle, safety engineering for robots and device software at the far end. What nobody is doing is testing the chain end to end, which is where the compounding happens.
Stage one produces something like this. Peak position identifies a compound, peak area quantifies it, and both carry error that stages two and three never see. Illustrative trace, indicative retention times.
Air, surface
Biological sensing
Olfaction, volatile organic compound detection, exposure monitoring and the chemical interface between a device and skin or mucosa.
- Q.1Can an array separate a hazard from ordinary variation when both sit in the low parts per billion?
- Q.2After six months of humidity cross-sensitivity and baseline drift, what is the instrument actually reporting?
- Q.3Who can spoof the front end, and how cheaply?
Tissue, organism
Biological interpretation
Computational pathology, tissue imaging, biomarker panels and inference about disease or exposure from evidence that was never complete.
- Q.4What happens downstream from a call of infection or neurodegeneration that turns out to be wrong?
- Q.5How do you audit a classifier whose training labels were uncertain in the first place?
- Q.6If a prediction rests on a proxy, can the system be made to name the proxy?
World
Embodied action
Robotics, self-driving laboratories, medical device software and anything else where an output moves matter.
- Q.7How should a system behave when its confidence is low and the action is irreversible?
- Q.8Which actions should be made reversible in hardware rather than in policy?
- Q.9When a person is escalated to, what is in front of them, and how long do they have?
State of the art
These systems already work well enough to be deployed
Every row below is a published result rather than a projection of one. The last column is what that system would need before anyone lets it act without a person checking. None of those things exist yet, which is the work.
| Stage | System | Reported result | Source | What is needed |
|---|---|---|---|---|
| 01 | Breath analysis across 17 disease classes | A nanomaterial sensor array reached 86 per cent accuracy on 1,404 subjects, and gas chromatography identified 13 volatile compounds carrying the discrimination. | Nakhleh 20171 | A drift specification. The array was accurate on the day it was calibrated and nothing states how long that holds. |
| 01 | A learned map of odour percepts | On 400 prospectively collected odorants the model matched the trained panel mean more closely than the median human panellist did. | Lee 20232 | A statement of what the map cannot resolve. Panel agreement on single odorants says little about a mixture in a room. |
| 01 | Breath screening for acute infection | A multiplexed nanomaterial array separated COVID-19 cases from controls in exhaled breath during the pandemic. | Shan 20203 | A false positive budget agreed before deployment, because the response to an alarm is isolation of a person. |
| 02 | Whole-slide diagnosis at clinical grade | Weakly supervised training on 44,732 slides from 15,187 patients gave areas under the curve above 0.98, enough to set aside 65 to 75 per cent of slides at full sensitivity. | Campanella 20194 | A check that the model reads the tissue rather than the hospital that submitted the slide. |
| 02 | Olfactory loss as a prodromal marker | Impaired smell precedes motor onset in Parkinson's disease by years and is present in most early cases, which is what makes the nose worth instrumenting at all. | Doty 20125 | A rule for who is told. A marker that runs years ahead of treatment is a prediction somebody has to live with. |
| 03 | Autonomous chemistry | A free-roaming robot ran 688 experiments over eight days across a ten-variable space and found photocatalyst mixtures six times more active than the starting formulations. | Burger 20206 | A stop that acts on the physical state of the bench and not only on the queue of planned experiments. |
| 03 | Population-scale biological monitoring | A design for pathogen-agnostic metagenomic sequencing of wastewater, meant to catch exponential growth in an organism nobody has characterised yet. | NAO Consortium 20217 | A route from detection to a decision, with a named authority and a deadline attached to it. |
Why olfaction
Olfaction is where we start
Smell is the one sensory system that already contains the whole problem. Molecules arrive, receptors encode them, the encoding is assigned a meaning, and an animal changes what it is doing. Each step has a counterpart in an embodied machine, so olfaction is somewhere to run experiments rather than a metaphor to argue about.
There is a practical reason too. Volatiles are one of the few routes by which information leaves an organism and enters shared air, which is what makes them attractive for detecting pathogens, decomposition and industrial exposure, and what makes the detectors worth attacking.
Biology also sets a benchmark that engineering has not met. Reported human detection thresholds for geosmin in water fall in the region of 4 to 15 nanograms per litre, which is single-digit parts per trillion. Arrays deployed in the field usually operate orders of magnitude above that, so asking whether they register the relevant compound at all is not a rhetorical question.
Digital pathology
Models that read air and tissue together
Air sampling records what an organism came into contact with. Histology and plasma record what followed. Groups are already building models that draw on both, and the audit problem is that the evidence enters at four depths, in units with no common denominator, carrying error structures that look nothing like each other.
Getting the classification right is hard and already well studied. The failure that worries us is quieter: a system reads exposure off a proxy, carries the correlation forward as though it were a mechanism, and hands a clinician an intervention. Acceptance criteria for that class of tool should exist before procurement decisions start to depend on them.
Failure evidence
Published failures of the same kinds of system
None of the failures below are hypothetical. They fall into a few kinds. Some are a model learning the wrong variable. Some are an instrument ceasing to mean what it meant when it was calibrated. Some are an attacker going after the channel rather than the model. What they share is that internal validation does not reveal any of them.
The model learns the site rather than the disease
Across more than 3,000 patients and six cancer subtypes in TCGA, the submitting site is recoverable from the slide image itself. It survives the colour normalisation and augmentation used to remove it, and it biases predictions of survival, mutation status and stage. Site correlates with outcome through patient population, so a model can score well while never touching biology.
Howard et al., Nature Communications, 20218Pathology foundation models still encode the hospital
A robustness index measuring whether biological signal or centre signal dominates the embedding space found that every pathology foundation model tested encodes the medical centre strongly, and that most cluster more tightly by centre than by cancer type. The errors are not random: they are confusions with other classes from the same centre.
de Jong et al., preprint, 202511A model that passed validation on shortcuts failed in use
Chest radiograph models for COVID-19 were shown to draw on medically irrelevant correlates rather than pathology. The way the training data was assembled made this close to inevitable, and the deficit is invisible in internal validation. It appears as a performance collapse in a new hospital.
DeGrave et al., Nature Machine Intelligence, 202112Gas sensors drift away from their calibration
Metal oxide arrays drift with humidity, ageing and exposure history. Over three years of controlled recording, drift degrades classifier performance measurably, and a later re-analysis showed the drift itself is informative enough to classify the analyte, meaning accuracy on the standard benchmark has been widely overstated.
Vergara et al., Sensors and Actuators B, 20129; Dennler et al., preprint, 202110Sound can force a sensor to report a chosen value
Acoustic injection at a MEMS accelerometer's resonant frequency can make it deliver values of the attacker's choosing to the processor, which is a step beyond denial of service. No amount of model hardening helps here, because the model's input is exactly what the attacker specified. Any chemical or physical front end has the same exposure.
Trippel et al., IEEE EuroS&P, 201713Invisible image edits flip a diagnosis and raise confidence
Imperceptible changes to a medical image flip a classification while raising confidence. The point made at the time was not the geometry of the attack but the incentive structure around it, since billing, triage and reimbursement all sit downstream of these outputs.
Finlayson et al., Science, 201914A drug safety model run in reverse designed nerve agents
A toxicity model built to screen drug candidates for safety was run with the sign on its objective reversed. In under six hours it generated roughly 40,000 candidate agents, including VX and novel compounds predicted to be more toxic. A model trained to recognise a biological hazard inverts the same way, which is the part of dual use that monitoring systems own.
Urbina et al., Nature Machine Intelligence, 202215Failure mode register
AI that monitors biology, not AI that designs pathogens
Most of the AI and biology conversation is about design, and in particular whether a model lowers the barrier to building a pathogen. That work is serious and well funded, and we are not duplicating it. Far less attention goes to the tools meant to detect, interpret and contain, which have failure modes of their own. This is our working register of them.
| ID | Failure mode | Class | Layer |
|---|---|---|---|
| FM-01 | Missed detectionThe agent was present and the instrument returned nothing unusual. | False negative | Air |
| FM-02 | Over-triggeringNormal variation reads as an event, and the response costs more than the hazard would have. | False positive | Air, tissue |
| FM-03 | Adversarial maskingA mixture is chosen to occupy the array's blind spot, or to saturate its response. | Adversarial | Air |
| FM-04 | Contaminated autonomyA self-driving lab acts on bad data, then generates more data from the corrupted state. | Cascade | World |
| FM-05 | Vector transferA robot carries biological material across a barrier that was there for a reason. | Cascade | World |
| FM-06 | Uncontestable inferenceSomeone is assessed by a biological monitor they cannot inspect or appeal. | Governance | Body |
How we differ
How this differs from AI safety and from biosecurity
AI safety concentrates on what a model returns into software. Biosecurity concentrates on what an actor could construct. Device regulation covers the last metre, but only once a product exists and a manufacturer is accountable for it. A model that reads a chemical or tissue signal and drives a machine falls between the three, and tends to be assessed as a device late, if at all.
AI safety
Channel
Text, code, software
Judges what the model returns.
FEAIS
Channel
Air, tissue, organism, machine
Judges what the return does physically.
Biosecurity
Channel
Organisms, agents
Judges what an actor could construct.
Contact
Get in touch
We are looking for people to work with and for one problem narrow enough to make real progress on. Disagreement with the framing on this page is as useful as agreement and easier to act on early.
People we want to hear from
- A regulatory or clinical background, ideally device software or human tissue
- Research in chemical sensing, computational pathology or robotics
- Governance experience on a scientific board
A first project
One problem narrow enough to publish on inside a year: an instrument with a drift history, a slide set with known label noise, or a robot whose reversibility can be tested.
Write to us
Proposals and offers to collaborate reach the same address. So do objections.
contact@feais.org